Community health rn v2 exit hesi guaranteed a tb guide all 55 q a

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HESI EXIT V2 x x




160 Questions
x




• After receiving IV fluids in the emergency department, ane
x x x x x x x x x



lderly client is admitted to
x x x x




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the acute care unit with a medical diagnosis of dehydratio
x x x x x x x x x



n. The client is receiving 0.9% normal saline at125 ml/hour
x x x x x x x x x x x



via saline lock and has a bounding pulse,
x x x x x x x




tachycardia, and pedal edema. When contacting the healt
x x x x x x x



hcare provider, the nurse anticipates a prescriptionwhat in
x x x x x x x x



tervention?
A) Remove the saline lock from the client’s arm.
x x x x x x x




B) Increase the rate of the normal saline infusion.
x x x x x x x




C) Decrease the rate of the normal saline infusion.
x x x x x x x




D) Change the IV solution to 0.45% saline solution.
x x x x x x x




• A client who is admitted to the care unit with syndromeo
x x x x x x x x x x x



f inappropriate antidiuretic hormone (SIADH) has develop
x x x x x x



ed osmotic demyelination. Which intervention should the
x x x x x x x



nurse implement first?
x x



A) Patch one eye. x x




B) Evaluate swallow. x




C) Reorient often. x




D) Range of motion. x x




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• The nurse is preparing a client who had a below-the-
x x x x x x x x x



knee (BKA) amputation for discharge to home. Which r
x x x x x x x x x



ecommendations should the nurse provide this client?( x x x x x x x



Select all that apply) x x x



A) Wash the stump with soap and water. x x x x x x




B) Avoid range of motion exercise. x x x x




C) Apply alcohol to the s x x x x



tump after bathing. D) In
x x x x



spect skin for redness.
x x x



E) Use a residual limb shrinker.
x x x x x




• After 2 days treatment for dehydration, a child contin
x x x x x x x x



ues to vomit and have diarrhea. Normal saline is
x x x x x x x x




infusing and the child’s urine output is 50ml/hour. During
x x x x x x x x x



morning assessment, the nurse determines that the childi
x x x x x x x x



s lethargic and difficult to arouse. Which should the nurse
x x x x x x x x x



x implement?
A) Increase the IV fluid flow rate. x x x x x




B) Review 24-hour intake and output. x x x x




C) Obtain arterial blood gases. x x x




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D) Perform a finger stick glucose test.
x x x x x




• A client with bleeding esophageal varices receives vaso
x x x x x x x



pressin IV. What should the nurse monitor for duringthe IV
x x x x x x x x x x x



infusion of this medication?
x x x



A) Vasodilatation of the
x x x x



extremities. B) Chest p x x x



ain and dysrhythmia.
x x




C) Hypotension and tachycardia. x x




D) Decreasing GI cramping and nausea. x x x x




• A male client with an antisocial personality disorder isa
x x x x x x x x x



dmitted to an inpatient mental health unit for multiple
x x x x x x x x




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